MRS. VASHTI ETWARU
NPI 1114159506
Physician Assistant - Medical in Springfield, NJ

Q: What is Vashti Etwaru's NPI number?

The NPI number for Vashti Etwaru is 1114159506. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Q: What is Vashti Etwaru's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Vashti Etwaru was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2009PECOS Enrolled

649 MORRIS AVE, SPRINGFIELD, NJ 07081(973) 795-7955 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Nov 9, 2017 (2 updates tracked since 2017).

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About Mrs. Vashti Etwaru NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. VASHTI ETWARU (NPI 1114159506) is an individual medical provider in Springfield, New Jersey, licensed in New York (013232) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114159506

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. VASHTI ETWARU

Location Address649 MORRIS AVESpringfield, NJ 07081-1526

Mailing Address22 Crown View CtSparta, NJ 07871-3569 · (516) 343-5339

Phone(973) 795-7955

Sole ProprietorNo

Enumeration DateAugust 18, 2009

Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration

NPPES CertifiedJuly 10, 2023

✔ NPI 1114159506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 013232

649 MORRIS AVE, Springfield, NJ 07081

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Vashti Etwaru is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZBETH AGUIRRE FNP

Nurse Practitioner (Family)